Nolan's Risk Assessment -

• Audit Title

• Document No.

• Client / Site

• Conducted on

  Date

• Prepared by

• Location
  Address

• Personnel

JOB DESCRIPTION

Take an Image of the area being assessed.

• Image

  Media

SITE ASSESSMENT - IDENTIFY HAZARDS

• Are there any natural hazards e.g. terrain, climate, wind that presents a risk?

  Yes

  No

  N/A

• If yes, refer to NHSI -

• Is the lighting inadequate?

  Yes

  No

  N/A

• If yes, refer to NHSI -

• Will the temperature in the work environment affect employees

  Yes

  No

  N/A

• If yes, refer to NHSI -

• Is the floor surface slippery, uneven, cluttered or unsafe?

  Yes

  No

  N/A

• If yes, refer to NHSI -

• Is there a risk of falling objects?

  Yes

  No

  N/A

• If yes, refer to NHSI - Working at Heights

• Are there any potential energy sources that could cause harm. Eg electrocution?

  Yes

  No

  N/A

• If yes, refer to NHSI -

• If yes, refer to NHSI - 17 Lock out & tag outs

• If yes, refer to NHSI -

• If yes, refer to NHSI - 21 Electricity

• Are there potentially explosive compounds that could cause harm?

  Yes

  No

  N/A

• If yes, refer to Safety Data Sheets & Hazmat Manifest

• Are there high concentrations of dust in the atmosphere?

  Yes

  No

  N/A

• If yes, refer to

• Is the workplace excessively noisy e.g. greater than 85 decibel?

  Yes

  No

  N/A

• If yes, refer to SWMS 6010 - Work Site Preparation (section 7)

INDIVIDUALS

• Is there a potential risk of injury to personnel ?

  Yes

  No

  N/A

• If yes, have the SWMS below covered these potential risks?

• Do the employees require additional training?

  Yes

  No

  N/A

• If yes, what training will be required?

• Is there a risk of other people being injured by the work activities?

  Yes

  No

  N/A

• If yes, have the NHSI below covered these potential risks?

• Are work activities of personnel impacting on the environment?

  Yes

  No

  N/A

• If yes, refer to SWMS

• Is there a risk of environmental damage / pollution by the work activities?

  Yes

  No

  N/A

• If yes, refer to SWMS

• Is additional supervision for the task required?

  Yes

  No

  N/A

• If yes, who will be the additional supervisor?

• Will employees be working at heights?

  Yes

  No

  N/A

• If yes refer to SWMS - 2080 Working at heights

PLANT & EQUIPMENT

• Is the plant and equipment unsuitable for the tasks?

  Yes

  No

  N/A

• If yes, refer to SWMS 2020 - Using portable ladders

• If yes, refer to SWMS 2060 - Erecting and using mobile scaffolds

• If yes, refer to SWMS 2040 - Working with elevating work platforms

• Is the plant unsafe to use?

  Yes

  No

  N/A

• If yes, refer to SWMS 3170 - Isolate, lockout, tag and test

• Are inspections and tests on electrical power tools and leads out of date?

  Yes

  No

  N/A

• If yes, refer to SWMS 2090 - Testing and tagging of electrical appliances

• Are chemicals being used, without copies of MSDS's being available?

  Yes

  No

  N/A

• If yes, obtain MSDS.

• Will the use of specific plant and equipment damage the environment if used?

  Yes

  No

  N/A

• If yes, refer to SWMS 6010 - Section 6

ADDITIONAL HAZARDS

• Additional hazards, which have not been shown above

• SWMS in relation to these hazards

HAZARD RISK SCORE 1

• 

• RISK SCORE 1: Before SWMS have been chosen, select a Risk Score in reference to Risk Matrix table

  Select 5E 5D 5C 5B 5A 4E 4D 4C 4B 4A 3E 3D 3C 3B 3A 2E 2D 2C 2B 2A 1E 1D 1C 1B 1A

  • 5E
  • 5D
  • 5C
  • 5B
  • 5A
  • 4E
  • 4D
  • 4C
  • 4B
  • 4A
  • 3E
  • 3D
  • 3C
  • 3B
  • 3A
  • 2E
  • 2D
  • 2C
  • 2B
  • 2A
  • 1E
  • 1D
  • 1C
  • 1B
  • 1A

SAFE WORK METHOD STATEMENTS

• SWMS 6010 - Site assessment and set up

• SWMS 6020 - Prove de-energised (dead)

• SWMS 3010 - Conduit installation, placed prior to pouring concrete

• SWMS 3020 - Conduit installation in the ground

• SWMS 3030 - Conduit installed in walls and ceilings

• SWMS 3040 - Cable and ladder tray installation

• SWMS 3050 - Installing light fittings

• SWMS 3060 - Installation of switchboards

• SWMS 3070 - Installation of pyrotenax (MIMS) cable

• SWMS 3080 - Installation of lighting looms

• SWMS 3090 - Installation of cable supports

• SWMS 3110 - Installation of mains

• SWMS 3120 - Installation of switchboard connections

• SWMS 3130 - New work in existing switchboards

• SWMS 3140 - Installation of submains

• SWMS 3150 - Installation of power and light cabling

• SWMS 3160 - Installation of power points

• SWMS 3170 - Isolate, lockout, tag and test

• SWMS 3180 - Installing ceiling mounted lights and speakers

• SWMS 3190 - Removal of PCBs

• SWMS 3210 - Disconnecting existing installation

• SWMS 3220 - Test for de-energised (dead)

• SWMS 3230 - Energise and commission installation

• SWMS 2050 - Erecting and using Mobile scaffolds

• SWMS 2080 - Working at heights

• SWMS 2120 - Working in ceiling space

• SWMS 2090 - Testing and tagging of electrical appliances

• SWMS 2060 - Dismantling mobile scaffolds

• SWMS 2020 - Using portable ladders

• SWMS 2040 - Working with elevating work platforms

HAZARD RISK SCORE 2

• 

• Have control measures been applied using SWMS?

• RISK SCORE 2: After SWMS have been chosen, select Risk Score in reference to Risk Matrix table.

  Select 5E 5D 5C 5B 5A 4E 4D 4C 4B 4A 3E 3D 3C 3B 3A 2E 2D 2C 2B 2A 1E 1D 1C 1B 1A

  • 5E
  • 5D
  • 5C
  • 5B
  • 5A
  • 4E
  • 4D
  • 4C
  • 4B
  • 4A
  • 3E
  • 3D
  • 3C
  • 3B
  • 3A
  • 2E
  • 2D
  • 2C
  • 2B
  • 2A
  • 1E
  • 1D
  • 1C
  • 1B
  • 1A

IF HAZARD RISK HIGH, REDO CONTROL MEASURES

• Is hazard risk score low?

  Yes

  No

  N/A

• Will control measures need to be changed before work can commence?

  Yes

  No

  N/A

RISK ASSESSMENT CARRIED OUT BY

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